| Sunrise Primary Care Partners Pllc | |
|
12647 W Smokey Dr Ste 119 Bldg F Surprise AZ 85378-3799 | |
| (602) 428-6915 | |
| Not Available |
| Full Name | Sunrise Primary Care Partners Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12647 W Smokey Dr, Surprise, Arizona |
| Authorized Official Name and Position | Julaiha Ariff (CEO) |
| Authorized Official Contact | 6024286915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Primary Care Partners Pllc 12647 W Smokey Dr Ste 119 Bldg F Surprise AZ 85378-3799 Ph: (602) 428-6915 | Sunrise Primary Care Partners Pllc 12647 W Smokey Dr Ste 119 Bldg F Surprise AZ 85378-3799 Ph: (602) 428-6915 |
| NPI Number | 1922781657 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 7214381490 |
|---|---|
| Medicare Enrollment ID | O20230921001205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922781657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Teresa L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366444580 PECOS PAC ID: 7618902305 Enrollment ID: I20050930000668 |
| Provider Name | Julaiha B Ariff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831188689 PECOS PAC ID: 3678607447 Enrollment ID: I20100816000425 |
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